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Diaz Clark, FNP
Family Nurse Practitioner in Peachtree City, Georgia
NPI 1164185468

Diaz Clark is a Family Nurse Practitioner based in Peachtree City, GA and is specialized in Family. Diaz Clark practices in Peachtree City, GA and has the professional credentials of FNP. The NPI Number for Diaz Clark is 1164185468 and holds a License No. RN144424 (Georgia).

The current practice location address for Diaz Clark is 101 Lexington Cir, Peachtree City, GA and can be reached out via phone at 770-534-6299.

Location: 101 Lexington Cir, Peachtree City, GA, 30269-6845
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1164185468
Provider Name
Diaz Clark
Credential
FNP
Provider Entity Type
Individual
Gender
Male
Address
101 Lexington Cir, Peachtree City, GA, 30269-6845
Phone Number
770-534-6299
Fax Number
Provider Enumeration Date
10/14/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
RN144424 01 GA LICENSE
institution
Provider Business Practice Location Address Details
Address
101 Lexington Cir
City
Peachtree City
State
Georgia
Zip
30269-6845
Phone Number
770-534-6299
Fax Number
person
Provider Business Mailing Address Details
Address
101 Lexington Cir
City
Peachtree City
State
Georgia
Zip
30269-6845
Phone Number
770-534-6299
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
RN144424 (Georgia)
Definition
Definition to come...
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